Conrad S Revak in Cleveland - Diagnostic Radiology

Conrad S Revak - NPI 1417911777

Conrad S Revak is a Diagnostic Radiology in Cleveland, Ohio. Conrad S Revak practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Conrad S Revak is 1417911777. The last update date is 2007-07-08.

Conrad S Revak's current location address is 9500 Euclid Ave, Cleveland, Ohio. You can contact this provider via phone number 8002232273. The mailing address for Conrad S Revak is 9500 Euclid Ave, Cleveland, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Conrad S Revak
Address 9500 Euclid Ave, Cleveland, Ohio
Phone Number 8002232273
Fax Number
Sole Proprietor X
Credentials MD

NPI Number Detail

NPI Number 1417911777
Provider Enumeration Date 2006-04-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 9500 Euclid Ave
City Cleveland
State Ohio (OH)
Post Code 441950001
Phone Number 8002232273
Fax Number

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 35059110R
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
114183 OH --

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FAQs about Conrad S Revak

What is the unique 10-digit identifier code issued to Conrad S Revak by the Centers for Medicare & Medicaid Services?

The Conrad S Revak has been assigned the NPI (National Provider Identifier) 1417911777 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Conrad S Revak?

The Conrad S Revak is physically situated at 9500 Euclid Ave, in the city of Cleveland, state of OH, with the postal code 441950001.

What is Conrad S Revak's area of expertise and its corresponding taxonomy classification?

The Conrad S Revak's field of specialization is Diagnostic Radiology, and it falls under the taxonomy code 2085R0202X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services issue the 1417911777 to Conrad S Revak?

The Conrad S Revak received its 1417911777 assignment from the Centers for Medicare & Medicaid Services on 2006-04-13.

As of what date was the information pertaining to Conrad S Revak, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Conrad S Revak, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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